ASPIRE365 CALIFORNIA LLC NPI 1477204493

NPI Information

  • NPI: 1477204493
  • Provider Name: ASPIRE365 CALIFORNIA LLC
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 46D2181239
  • Address: 9350 S 150 E STE 320
    SANDY, UT
    ZIP 84070
  • Phone: (385) 352-9696

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NPI Details

ASPIRE365 CALIFORNIA LLC is an addiction medicine preventive medicine in Sandy, UT. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. ASPIRE365 CALIFORNIA LLC NPI is 1477204493. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9350 S 150 E STE 320
SANDY, UT
ZIP 84070-707
Phone: (385) 352-9696
Fax: (385) 399-9070

The provider's authorized official is Zachary Jenson .
The authorized official title is Ceo and has the following contact phone number (801) 556-1977.

The CLIA number assigned to this NPI record is 46D2181239 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
42083A0300XPreventive MedicineAddiction MedicineYes
52084A0401XPsychiatry & NeurologyAddiction MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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